Individual
MRS. JANET RICHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 ROSERA ST, LENA, WI 54139-9169
(920) 829-6400
(920) 829-6403
Mailing address
200 S ROSERA ST, LENA, WI 54139-9169
(920) 829-6400
(920) 829-6403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1428-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1346371358
LENA PCC NPI
WI
01
—
1851477913
CMH NPI
WI
05
—
41969700
—
WI
Enumeration date
03/16/2006
Last updated
03/18/2013
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